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General NPI Number Information
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NPI Number | 1457297004
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Entity Type | Individual
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Provider Name | MUSTANSIR ABBAS ALI MBBS
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Gender | Male
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Dates
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Enumeration Date | 04/27/2026
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Last Update Date | 04/27/2026
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Provider Practice Location Address
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Address Line | 37595 SEVEN MILE RD SUITE 340 TRINITY HEALTH ACADEMIC INTERNAL MEDICINE - NORTHWEST L
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City | LIVONIA
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State | MI
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Zip | 48152
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Country | US
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Telephone | 734-793-2470
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Fax |
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Provider Business Mailing Address
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Address Line | SECTOR C-173, B.D.A. COLONY, KOH-E-FIZ
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City | BHOPAL
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State | MADHYA PRADESH
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Zip | 462001
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Country | IN
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Telephone |
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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